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Psychosocial and psychological interventions for preventing postpartum depression

  1. Cindy-Lee Dennis1,*,
  2. Therese Dowswell2

Editorial Group: Cochrane Pregnancy and Childbirth Group

Published Online: 28 FEB 2013

Assessed as up-to-date: 30 MAY 2012

DOI: 10.1002/14651858.CD001134.pub3


How to Cite

Dennis CL, Dowswell T. Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database of Systematic Reviews 2013, Issue 2. Art. No.: CD001134. DOI: 10.1002/14651858.CD001134.pub3.

Author Information

  1. 1

    University of Toronto and Women's College Research Institute, Toronto, Ontario, Canada

  2. 2

    The University of Liverpool, Cochrane Pregnancy and Childbirth Group, Department of Women's and Children's Health, Liverpool, UK

*Cindy-Lee Dennis, University of Toronto and Women's College Research Institute, 155 College Street, Toronto, Ontario, M5T 1P8, Canada. cindylee.dennis@utoronto.ca.

Publication History

  1. Publication Status: New search for studies and content updated (conclusions changed)
  2. Published Online: 28 FEB 2013

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[Figure 1]
Figure 1. 'Risk of bias' summary: review authors' judgements about each risk of bias item for each included study.
[Figure 2]
Figure 2. 'Risk of bias' graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
[Figure 3]
Figure 3. Funnel plot of comparison: 1 All interventions versus usual care - various study outcomes, outcome: 1.1 Depressive symptomatology at final study assessment.
[Figure 4]
Figure 4. Funnel plot of comparison: 1 All interventions versus usual care - various study outcomes, outcome: 1.2 Mean depression scores at final study assessment.
[Figure 5]
Figure 5. Funnel plot of comparison: 2 All psychosocial interventions versus usual care - variations in intervention type, outcome: 2.4 All psychosocial interventions: depressive symptomatology at final study assessment.
[Figure 6]
Figure 6. Funnel plot of comparison: 2 All psychosocial interventions versus usual care - variations in intervention type, outcome: 2.5 All psychosocial interventions: mean depression scores.
[Analysis 1.1]
Analysis 1.1. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 1 Depressive symptomatology at final study assessment.
[Analysis 1.2]
Analysis 1.2. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 2 Mean depression scores at final study assessment.
[Analysis 1.3]
Analysis 1.3. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 3 Diagnosis of depression at final study assessment.
[Analysis 1.4]
Analysis 1.4. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 4 Depressive symptomatology at 8, 16, 24, and > 24 weeks.
[Analysis 1.5]
Analysis 1.5. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 5 Mean depression scores at 8, 16, 24, and > 24 weeks.
[Analysis 1.6]
Analysis 1.6. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 6 Diagnosis of depression at 8, 16, 24, and > 24 weeks.
[Analysis 1.7]
Analysis 1.7. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 7 Maternal mortality at > 24 weeks.
[Analysis 1.8]
Analysis 1.8. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 8 Maternal-infant attachment at 8, 16, and 24 weeks.
[Analysis 1.9]
Analysis 1.9. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 9 Mean maternal-infant attachment scores at 8, 16, 24, and > 24 weeks.
[Analysis 1.10]
Analysis 1.10. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 10 Anxiety at 8, 16, and 24 weeks.
[Analysis 1.11]
Analysis 1.11. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 11 Mean anxiety scores at 8, 16, 24, and > 24 weeks.
[Analysis 1.12]
Analysis 1.12. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 12 Maternal stress at 16 weeks.
[Analysis 1.13]
Analysis 1.13. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 13 Mean maternal stress scores at 24 and > 24 weeks.
[Analysis 1.14]
Analysis 1.14. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 14 Mean parental stress scores at 8, 24, and > 24 weeks.
[Analysis 1.15]
Analysis 1.15. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 15 Perceived social support at 8 and 16 weeks.
[Analysis 1.16]
Analysis 1.16. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 16 Mean perceived social support scores at 8, 16, 24, and > 24 weeks.
[Analysis 1.17]
Analysis 1.17. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 17 Maternal dissatisfaction with care provided at 8, 16, and 24 weeks.
[Analysis 1.18]
Analysis 1.18. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 18 Mean maternal dissatisfaction scores at 8 and 16 weeks.
[Analysis 1.19]
Analysis 1.19. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 19 Infant health parameters - not fully immunized at > 24 weeks.
[Analysis 1.20]
Analysis 1.20. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 20 Infant development > 24 weeks.
[Analysis 1.21]
Analysis 1.21. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 21 Child abuse at 8 and > 24 weeks.
[Analysis 1.22]
Analysis 1.22. Comparison 1 All psychosocial and psychological interventions versus usual care - various study outcomes, Outcome 22 Mean marital discord scores at 8, 16, and 24 weeks.
[Analysis 2.1]
Analysis 2.1. Comparison 2 All psychosocial interventions versus usual care - variations in intervention type, Outcome 1 All psychosocial interventions - depressive symptomatology.
[Analysis 2.2]
Analysis 2.2. Comparison 2 All psychosocial interventions versus usual care - variations in intervention type, Outcome 2 All psychosocial interventions - mean depression scores.
[Analysis 2.3]
Analysis 2.3. Comparison 2 All psychosocial interventions versus usual care - variations in intervention type, Outcome 3 All psychosocial interventions - diagnosis of depression.
[Analysis 2.4]
Analysis 2.4. Comparison 2 All psychosocial interventions versus usual care - variations in intervention type, Outcome 4 All psychosocial interventions: depressive symptomatology at final study assessment.
[Analysis 2.5]
Analysis 2.5. Comparison 2 All psychosocial interventions versus usual care - variations in intervention type, Outcome 5 All psychosocial interventions: mean depression scores.
[Analysis 3.1]
Analysis 3.1. Comparison 3 All psychological interventions versus usual care - variations in intervention type, Outcome 1 All psychological interventions - depressive symptomatology.
[Analysis 3.2]
Analysis 3.2. Comparison 3 All psychological interventions versus usual care - variations in intervention type, Outcome 2 All psychological interventions - mean depression scores.
[Analysis 3.3]
Analysis 3.3. Comparison 3 All psychological interventions versus usual care - variations in intervention type, Outcome 3 All psychological interventions - diagnosis of depression.
[Analysis 4.1]
Analysis 4.1. Comparison 4 Subgroup analysis: variations in psychosocial interventions, Outcome 1 TEST FOR SUBGROUP DIFFERENCES: depressive symptomatology at final study assessment.
[Analysis 4.2]
Analysis 4.2. Comparison 4 Subgroup analysis: variations in psychosocial interventions, Outcome 2 TEST FOR SUBGROUP DIFFERENCES: mean depression score at final study assessment.
[Analysis 5.1]
Analysis 5.1. Comparison 5 Subgroup analysis: variations in psychological interventions, Outcome 1 TEST FOR SUBGROUP DIFFERENCES: depressive symptomatology at final study assessment.
[Analysis 5.2]
Analysis 5.2. Comparison 5 Subgroup analysis: variations in psychological interventions, Outcome 2 TEST FOR SUBGROUP DIFFERENCES: mean depression score at final study assessment.
[Analysis 6.1]
Analysis 6.1. Comparison 6 Subgroup analysis: variations in intervention provider, Outcome 1 Professionally-based interventions - depressive symptomatology.
[Analysis 6.2]
Analysis 6.2. Comparison 6 Subgroup analysis: variations in intervention provider, Outcome 2 Professionally-based interventions - mean depression scores.
[Analysis 6.3]
Analysis 6.3. Comparison 6 Subgroup analysis: variations in intervention provider, Outcome 3 Professionally-based interventions - diagnosis of depression.
[Analysis 6.4]
Analysis 6.4. Comparison 6 Subgroup analysis: variations in intervention provider, Outcome 4 Lay-based interventions - depressive symptomatology.
[Analysis 6.5]
Analysis 6.5. Comparison 6 Subgroup analysis: variations in intervention provider, Outcome 5 Lay-based interventions - mean depression scores.
[Analysis 6.6]
Analysis 6.6. Comparison 6 Subgroup analysis: variations in intervention provider, Outcome 6 Lay-based interventions - diagnosis of depression.
[Analysis 6.7]
Analysis 6.7. Comparison 6 Subgroup analysis: variations in intervention provider, Outcome 7 TEST FOR SUBGROUP DIFFERENCES: depressive symptomatology: at final study assessment.
[Analysis 6.8]
Analysis 6.8. Comparison 6 Subgroup analysis: variations in intervention provider, Outcome 8 TEST FOR SUBGROUP DIFFERENCES: mean depression scores: at final study assessment.
[Analysis 6.9]
Analysis 6.9. Comparison 6 Subgroup analysis: variations in intervention provider, Outcome 9 TEST FOR SUBGROUP DIFFERENCES: diagnosis of depression: at final study assessment.
[Analysis 7.1]
Analysis 7.1. Comparison 7 Subgroup analysis: variations in professionally-based intervention provider, Outcome 1 TEST FOR SUBGROUP DIFFERENCES: depressive symptomatology at final study assessment.
[Analysis 7.2]
Analysis 7.2. Comparison 7 Subgroup analysis: variations in professionally-based intervention provider, Outcome 2 TEST FOR SUBGROUP DIFFERENCES: mean depression score at final study assessment.
[Analysis 8.1]
Analysis 8.1. Comparison 8 Subgroup analysis: variations in intervention mode, Outcome 1 Individually-based interventions - depressive symptomatology.
[Analysis 8.2]
Analysis 8.2. Comparison 8 Subgroup analysis: variations in intervention mode, Outcome 2 Individually-based interventions - mean depression scores.
[Analysis 8.3]
Analysis 8.3. Comparison 8 Subgroup analysis: variations in intervention mode, Outcome 3 Individually-based interventions - diagnosis of depression.
[Analysis 8.4]
Analysis 8.4. Comparison 8 Subgroup analysis: variations in intervention mode, Outcome 4 Group-based interventions - depressive symptomatology.
[Analysis 8.5]
Analysis 8.5. Comparison 8 Subgroup analysis: variations in intervention mode, Outcome 5 Group-based interventions - mean depression scores.
[Analysis 8.6]
Analysis 8.6. Comparison 8 Subgroup analysis: variations in intervention mode, Outcome 6 Group-based interventions - diagnosis of depression.
[Analysis 8.7]
Analysis 8.7. Comparison 8 Subgroup analysis: variations in intervention mode, Outcome 7 TEST FOR SUBGROUP DIFFERENCES: depressive symptomatology: at final study assessment.
[Analysis 8.8]
Analysis 8.8. Comparison 8 Subgroup analysis: variations in intervention mode, Outcome 8 TEST FOR SUBGROUP DIFFERENCES: mean depression scores: at final study assessment.
[Analysis 8.9]
Analysis 8.9. Comparison 8 Subgroup analysis: variations in intervention mode, Outcome 9 TEST FOR SUBGROUP DIFFERENCES: diagnosis of depression: at final study assessment.
[Analysis 9.1]
Analysis 9.1. Comparison 9 Subgroup analysis: variations in intervention duration, Outcome 1 Single-contact interventions - depressive symptomatology.
[Analysis 9.2]
Analysis 9.2. Comparison 9 Subgroup analysis: variations in intervention duration, Outcome 2 Single-contact interventions - mean depression scores.
[Analysis 9.3]
Analysis 9.3. Comparison 9 Subgroup analysis: variations in intervention duration, Outcome 3 Multiple-contact interventions - depressive symptomatology.
[Analysis 9.4]
Analysis 9.4. Comparison 9 Subgroup analysis: variations in intervention duration, Outcome 4 Multiple-contact interventions - mean depression scores.
[Analysis 9.5]
Analysis 9.5. Comparison 9 Subgroup analysis: variations in intervention duration, Outcome 5 Multiple-contact interventions - diagnosis of depression.
[Analysis 9.6]
Analysis 9.6. Comparison 9 Subgroup analysis: variations in intervention duration, Outcome 6 TEST FOR SUBGROUP DIFFERENCES: depressive symptomatology: at final study assessment.
[Analysis 9.7]
Analysis 9.7. Comparison 9 Subgroup analysis: variations in intervention duration, Outcome 7 TEST FOR SUBGROUP DIFFERENCES: mean depression scores: at final study assessment.
[Analysis 10.1]
Analysis 10.1. Comparison 10 Subgroup analysis: variations in intervention onset, Outcome 1 Interventions with antenatal only component - mean depression scores.
[Analysis 10.2]
Analysis 10.2. Comparison 10 Subgroup analysis: variations in intervention onset, Outcome 2 Interventions with antenatal only component - diagnosis of depression.
[Analysis 10.3]
Analysis 10.3. Comparison 10 Subgroup analysis: variations in intervention onset, Outcome 3 Interventions with antenatal and postnatal components - depressive symptomatology.
[Analysis 10.4]
Analysis 10.4. Comparison 10 Subgroup analysis: variations in intervention onset, Outcome 4 Interventions with antenatal and postnatal components - mean depression scores.
[Analysis 10.5]
Analysis 10.5. Comparison 10 Subgroup analysis: variations in intervention onset, Outcome 5 Interventions with antenatal and postnatal components - diagnosis of depression.
[Analysis 10.6]
Analysis 10.6. Comparison 10 Subgroup analysis: variations in intervention onset, Outcome 6 Interventions with postnatal only component - depressive symptomatology.
[Analysis 10.7]
Analysis 10.7. Comparison 10 Subgroup analysis: variations in intervention onset, Outcome 7 Interventions with postnatal only component - mean depression scores.
[Analysis 10.8]
Analysis 10.8. Comparison 10 Subgroup analysis: variations in intervention onset, Outcome 8 Interventions with postnatal only component - diagnosis of depression.
[Analysis 10.9]
Analysis 10.9. Comparison 10 Subgroup analysis: variations in intervention onset, Outcome 9 TEST FOR SUBGROUP DIFFERENCES: depressive symptomatology: at final study assessment.
[Analysis 10.10]
Analysis 10.10. Comparison 10 Subgroup analysis: variations in intervention onset, Outcome 10 TEST FOR SUBGROUP DIFFERENCES: mean depression scores: at final study assessment.
[Analysis 10.11]
Analysis 10.11. Comparison 10 Subgroup analysis: variations in intervention onset, Outcome 11 TEST FOR SUBGROUP DIFFERENCES: diagnosis of depression: at final study assessment.
[Analysis 11.1]
Analysis 11.1. Comparison 11 Subgroup analysis: variations in sample selection criteria, Outcome 1 Interventions for at-risk women - depressive symptomatology.
[Analysis 11.2]
Analysis 11.2. Comparison 11 Subgroup analysis: variations in sample selection criteria, Outcome 2 Interventions for at-risk women - mean depression scores.
[Analysis 11.3]
Analysis 11.3. Comparison 11 Subgroup analysis: variations in sample selection criteria, Outcome 3 Interventions for at-risk women - diagnosis of depression.
[Analysis 11.4]
Analysis 11.4. Comparison 11 Subgroup analysis: variations in sample selection criteria, Outcome 4 Interventions for general population - depressive symptomatology.
[Analysis 11.5]
Analysis 11.5. Comparison 11 Subgroup analysis: variations in sample selection criteria, Outcome 5 Interventions for general population - mean depression scores.
[Analysis 11.6]
Analysis 11.6. Comparison 11 Subgroup analysis: variations in sample selection criteria, Outcome 6 TEST FOR SUBGROUP DIFFERENCES: depressive symptomatology: at final study assessment.
[Analysis 11.7]
Analysis 11.7. Comparison 11 Subgroup analysis: variations in sample selection criteria, Outcome 7 TEST FOR SUBGROUP DIFFERENCES: mean depression scores: at final study assessment.